Left femoral vein access for transcatheter mitral valve interventions in unfavorable interatrial septal anatomy.
MitraClip
access site management
left femoral vein
mitral valve percutaneous repair
transseptal puncture
vascular access
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
15 11 2021
15 11 2021
Historique:
received:
17
07
2021
accepted:
31
08
2021
pubmed:
18
9
2021
medline:
15
12
2021
entrez:
17
9
2021
Statut:
ppublish
Résumé
Optimal transseptal puncture (TSP) position on the interatrial septum as well as proper catheter direction and maneuverability in the left atrium (LA) are key elements for successful mitral valve (MV) interventions. TSP is usually performed from the right femoral vein being more comfortable for the operator and easier to reach the fossa ovalis. In the cases reported, TSP was performed from left femoral vein (LFV) to improve delivery system maneuverability and trajectory inside the LA in the context of MV repair with MitraClip. According to this early experience, LFV approach might be considered as first choice or as an alternative solution in patients in whom a higher position of the delivery system relative to the mitral annulus is needed.
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E971-E976Informations de copyright
© 2021 Wiley Periodicals LLC.
Références
Downs E, Lim S, Ragosta M, et al. The influence of a percutaneous mitral repair program on surgical mitral valve volume. J Thorac Cardiovasc Surg. 2015;150(5):1093-1097.
Del Val D, Ferreira-Neto AN, Wintzer-Wehekind J, et al. Early experience with transcatheter mitral valve replacement: a systematic review. J Am Heart Assoc. 2019;8(17):e013332.
Maisano F, Taramasso M. Mitral valve-in-valve, valve-in-ring, and valve-in-MAC: the good, the bad, and the ugly. Eur Heart J. 2019;40(5):452-455.
Alkhouli M, Rihal CS, Holmes DR Jr. Transseptal techniques for emerging structural heart interventions. JACC Cardiovasc Interv. 2016;9(24):2465-2480. https://doi.org/10.1016/j.jcin.2016.10.035
Russo G, Taramasso M, Maisano F. Transseptal puncture: procedural guidance, challenging situations and complications management. EuroIntervention. 2021. https://doi.org/10.4244/EIJ-D-20-00454. [Epub ahead of print].
Cavalcante JL, Rodriguez LL, Kapadia S, Tuzcu EM, Stewart WJ. Role of echocardiography in percutaneous mitral valve interventions. JACC Cardiovasc Imaging. 2012;5(7):733-746.
Radinovic A, Mazzone P, Landoni G, Agricola E, Regazzoli D, Della-Bella P. Different transseptal puncture for different procedures: optimization of left atrial catheterization guided by transesophageal echocardiography. Ann Card Anaesth. 2016;19(4):589-593.
Gavazzoni M, Taramasso M, Zuber M, et al. Conceiving MitraClip as a tool: percutaneous edge-to-edge repair in complex mitral valve anatomies. Eur Heart J Cardiovasc Imaging. 2020;21(10):1059-1067. https://doi.org/10.1093/ehjci/jeaa062
Baim DS. Percutaneous approach, including transseptal and apical puncture. In: Baim DS, Grossman W, eds. Cardiac Catheterization, Angiography, and Intervention. 5th ed. Williams & Wilkins; 1996:57-82.
Sharma SP, Nalamasu R, Gopinathannair R, Vasamreddy C, Lakkireddy D. Transseptal puncture: devices, techniques, and considerations for specific interventions. Curr Cardiol Rep. 2019;21(6):52. https://doi.org/10.1007/s11886-019-1136-6
Vyas C, Shah S, Patel T. Percutaneous transvenous mitral commissurotomy via left femoral vein approach-exploring an unusual approach for left atrial entry. J Invasive Cardiol. 2011;23:E145-E146.
Baszko A, Kalmucki P, Dankowski R, Lanocha M, Siminiak T, Szyszka A. Transseptal puncture from the jugular vein and balloon cryoablation for atrial fibrillation in a patient with azygos continuation of an interrupted inferior vena cava. Europace. 2015;17:1153-1156.
Sullebarger JT, Coto H, Lopez E, Sayad D, Fontanet HL. Transjugular percutaneous Inoue balloon mitral commissurotomy in a patient with inferior vena cava obstruction after liver transplantation. Catheter Cardiovasc Interv. 2003;59:261-265.
Oakley L, Yoon SH, Makar M, et al. Left-sided venous access: a technique to simplify and improve success of tricuspid valve clip repair. JACC Cardiovasc Interv. 2021;14(5):581-582.